Not Medicare Enrolled

Dr. Michael Ast, M.D.

Orthopedic Surgery · Paramus, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Mixed engagement
15 E MIDLAND AVE STE 1A, Paramus, NJ 07652
2015998056
In practice since 2008 (17 years)
NPI: 1427204106 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 3 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Ast from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Ast? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Ast

Dr. Michael Ast is an orthopedic surgery specialist in Paramus, NJ, with 17 years of NPI registration. Based on federal Medicare data, Dr. Ast performed 1,642 Medicare services across 1,137 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ast received a total of $1,010,334 from 29 pharmaceutical and/or device companies across 772 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Ast is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 17 years in practice ▲ Top 47% volume in NJ $1,010,334 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,642
Medicare services
Top 47% in NJ for orthopedic surgery
1,137
Unique beneficiaries
$186
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~97 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
444 $1 $50
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
343 $74 $325
Computer-assisted surgery for muscle and bone procedure
A surgical procedure involving muscles or bones that utilizes computer technology to assist with planning or execution.
174 $136 $1,785
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
144 $131 $850
Total knee replacement 108 $1,198 $26,350
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
105 $102 $550
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
95 $91 $1,666
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
60 $90 $450
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
54 $1,206 $26,100
Virtual check-in for established patient
A brief communication service provided by a qualified healthcare professional to an established patient via technology, such as a virtual check-in.
41 $12 $35
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
30 $60 $335
Telephone medical discussion, 11-20 minutes
A phone conversation with a nonphysician healthcare professional lasting between 11 and 20 minutes.
16 $19 $100
Knee joint replacement
Surgical procedure to replace a knee joint with an artificial implant.
14 $1,074 $20,000
Telephone medical discussion, 5-10 minutes
A brief phone conversation with a healthcare provider lasting between 5 and 10 minutes.
14 $11 $70
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
21.3% high complexity
32.8% medium
45.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,010,334
Total received (2018-2024)
Avg $144,333/year across 7 years
Top 2% in NJ for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
772
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$363,173 (35.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$303,685 (30.1%)
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$301,833 (29.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$41,643 (4.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$355,019
2023
$93,897
2022
$100,764
2021
$83,261
2020
$91,885
2019
$170,644
2018
$114,863

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ORTHALIGN INC
$235,373
Smith+Nephew, Inc.
$80,637
Stryker Corporation
$16,454
Solventum Corporation
$10,200
Ignite Orthomotion LLC
$6,500
Zimmer Biomet Holdings, Inc.
$5,557
Medical Device Business Services, Inc.
$147
Linvatec Corporation
$91
DePuy Synthes Sales Inc.
$60
Top 3 companies account for 93.6% of 2024 payments
All-time payments by company (2018-2024) ›
Smith+Nephew, Inc.
$381,867
ORTHALIGN INC
$351,064
Stryker Corporation
$133,328
Smith & Nephew, Inc.
$84,906
Conformis, Inc.
$10,855
Solventum Corporation
$10,200
Ignite Orthomotion LLC
$9,000
Heron Therapeutics, Inc.
$8,299
KCI USA, Inc.
$6,072
Zimmer Biomet Holdings, Inc.
$5,680
Medical Device Business Services, Inc.
$2,570
ConvaTec Inc.
$2,275
Bioventus LLC
$1,795
KCI USA, Inc
$493
DePuy Synthes Sales Inc.
$453
Flexion Therapeutics, Inc.
$240
Medtronic USA, Inc.
$193
Pacira Therapeutics, Inc.
$189
Davol Inc.
$186
Horizon Therapeutics plc
$142
Engage Uni, LLC
$114
Linvatec Corporation
$91
Corin USA
$79
Johnson & Johnson Health Care Systems Inc.
$76
Medacta USA, Inc.
$71
Maxx Orthopedics, Inc.
$46
Horizon Pharma plc
$25
Ferring Pharmaceuticals Inc.
$14
Radius Health, Inc.
$13
Top 3 companies account for 85.7% of all-time payments
Associated products mentioned in payments ›
3M Cavilon · 3M Ioban · ACCOLADE · ACTIS · ANTHOLOGY · AQUACEL AG SURGICAL · AQUAMANTYS · ARISTA AH FlexiTip · ATTUNE · Accelero-None · Accord · Acticoat Range · All · Anthem · Anthology · BIOBRACE 23MM · BIRMINGHAM HIP · BONESAVE · CORI · Comprehensive Shoulder System · Durolane · EUFLEXXA · EZOUT · Engage Partial Knee System · Freedom Total Knee System · GAMMA · GMK Sphere · HIP7 · HTX-011 · Hip · Hip 6.0 Navigation Software · ITotal Identity PS · JII Unicondylar Knee System · JOURNEY II · JOURNEY II BCS · JOURNEY II CR · JOURNEY II UK · JOURNEY II XR · JOURNEY UNI · Journey II BCS · Journey II CR · Journey II XR · Journey Uni · LEGION · LEGION Revision · Legion · Legion Revision · MAKO · MICROFIX · MINIRAIL · MONOVISC · N/A · NAVIO · NEW PRODUCT DEVELOPMENT · NONE · Navio Surgical System · OR3O Dual Mobility · ORTHALIGN PLUS · ORTHOVISC · OXINIUM Hip · OrthAlign Plus System · Orthalign Plus · Oxinium Hips · PENNSAID · PERFORMANCE SOLUTIONS · PICO · PICO Single Use Negative Pressure Wound Therapy · POLAR3 · POLARSTEM · PREVENA · PROCISE Tonsil · R3 ACETABULAR · REAL INTELLIGENCE · RECLAIM · REDAPT · REDAPT Revision Hip System · REUNION · ROSA · S2 Procedure Performance · Smith & Nephew Insufflator 500 · T-Fix · TANDEM · TRIATHLON · TRIDENT · TRITANIUM · Tymlos · VISIONAIRE · VISIONAIRE Cutting Guides · VISIONAIRE Solutions · Velys · ZUK Uni · Zilretta · Zynrelef · iTotal PS
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (36%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in orthopedic surgery and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for orthopedic surgery in NJ.

Looking for an orthopedic surgery specialist in Paramus?
Compare orthopedic surgeons in the Paramus area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons within 10 mi
935
Per 100K population
97.9
County median income
$123,715
Nearest hospital
VALLEY HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment — Not enrolled N/A
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 3 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Ast is a clinical cardiology specialist, with moderate Medicare volume, with mixed engagement industry engagement in the top 2% of NJ peers, with 17 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Ast experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Ast performed 444 steroid injection (triamcinolone) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Ast receive payments from pharmaceutical companies?
Yes. Dr. Ast received a total of $1,010,334 from 29 companies across 772 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Ast's costs compare to other orthopedic surgeons in Paramus?
Dr. Ast's average Medicare payment per service is $186. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Ast) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →